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Cross-Cultural Adaptation and Validation of the Dutch Version of the Hip and Groin Outcome Score (HAGOS-NL)
Erwin Brans1,2, Joost S de Graaf1, Arvid V E Munzebrock1,3
1Department of Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands.
Insights
The Hip and Groin Outcome Score (HAGOS) was successfully translated into Dutch (HAGOS-NL). This validated and reliable tool assesses hip and groin pain, improving patient outcome evaluation.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Health Outcomes Research
Background:
- Lack of validated and reliable questionnaires for hip and groin pain assessment.
- The Hip and Groin Outcome Score (HAGOS) is a recognized measure for symptoms, activity limitations, and quality of life in hip/groin conditions.
Purpose of the Study:
- To translate and cross-culturally adapt the HAGOS into Dutch, creating the HAGOS-NL.
- To evaluate the internal consistency, validity, and reliability of the HAGOS-NL.
Main Methods:
- Cross-cultural adaptation of the HAGOS following international guidelines.
- 178 adult patients post-groin hernia repair completed HAGOS-NL, SF-36, and SMFA-NL for construct validity.
- 81 respondents completed HAGOS-NL twice over two weeks to assess reliability.
Main Results:
- Factor analysis confirmed the original six-factor structure of the HAGOS.
- HAGOS-NL demonstrated good internal consistency and high construct validity with SF-36 and SMFA-NL.
- High reliability was found for HAGOS-NL, with moderate reliability for the 'Participation in Physical Activities' subscale.
Conclusions:
- The HAGOS-NL is a successfully translated and cross-culturally adapted instrument.
- HAGOS-NL is a valid and reliable tool for assessing functional status in patients with groin complaints.
- The HAGOS-NL enhances the evaluation of health-related quality of life for individuals experiencing groin issues.
Background:
Valid and reliable questionnaires to assess hip and groin pain are lacking. The Hip and Groin Outcome Score (HAGOS) is a valid and reliable self-reported measure to assess symptoms, activity limitations, participation restrictions and quality of life of persons with hip and/or groin complaints. The purpose of this study was to translate and cross-culturally adapt the HAGOS into Dutch (HAGOS-NL), and to evaluate its internal consistency, validity and reliability.
Methods:
Translation and cross-cultural adaption of the Dutch version of the HAGOS (HAGOS-NL) was performed according to international guidelines. The study population consisted of 178 adult patients who had undergone groin hernia repair surgery in the previous year. All respondents filled in the HAGOS-NL, the SF-36, and the SMFA-NL for determining construct validity of the HAGOS-NL. To determine reliability, 81 respondents filled in the HAGOS-NL after a time interval of two weeks.
Results:
Factor analysis confirmed the original six-factor solution of the HAGOS. Internal consistency was good for all the subscales of the HAGOS-NL. High correlations were observed between the HAGOS-NL and the SF-36 and SMFA-NL, indicating good construct validity. The HAGOS-NL showed high reliability, except for the subscale Participation in Physical Activities which was moderate.
Conclusions:
The HAGOS was successfully translated and cross-culturally adapted from English into Dutch (HAGOS-NL). This study shows that the HAGOS-NL is a valid and reliable instrument for the assessment of functional status and health-related quality of life in patients with groin complaints.
